Chapter 311

"I guess I need to be intubated."

After sending the patient to the emergency room, Qi Tiancheng looked worried.

It was different from the drug poisoning he had seen before.

This time the patient ate a full bottle, which had affected the body's normal central nervous system.

No wonder they were transferred here. The only hospital in Yingcheng that can treat this disease is the Central Hospital.

But, can they really cure it?

Qi Tiancheng looked at Dr. Xiao Zhao who was worried and knew that he had given her a difficult job with just one phone call.

"I'm going to ask the leader for instructions."

Dr. Xiao Zhao was also undecided. With her ability, she might not be able to handle the patient in front of her.

But given the patient's current condition, it is unrealistic to transfer her to another hospital.

It’s a long journey, and there are only a few hospitals that can carry out blood purification technology at this stage.

Most are still in provincial cities.

If you go here, after a few hours, the patient will definitely not be able to hold on.

After asking for instructions from the leader, Dr. Zhao looked at the patient who had just been monitored with a sad expression on his face.

"How is it?" Qi Tiancheng asked.

"The patient will definitely die if he goes to the provincial capital. Now we can only negotiate with her family members. If she wants to save her life, she can only try. After all, she takes too many medicines. If she can't take it, there is nothing we can do."

Dr. Xiao Zhao answered truthfully.

After speaking, Dr. Xiao Zhao began to talk to the family members to understand the specific situation and prepare for the next treatment plan.

In the emergency room, Xiao Chenguang and the nurse carried the patient to the bed.

The ECG monitoring was connected, the heart rate was fast, the blood pressure was low, and even though the patient was taking vasopressor drugs, he could barely maintain his vital signs.

The gastric tube hanging on the patient's nose is still used for gastrointestinal decompression, and the urinary tube has been placed on the road.

"Intubate."

The patient took a deep breath like a tide. A blood gas check showed that the pH value was 7.18, and even the bicarbonate level was less than 20.

The partial pressure of carbon dioxide is as high as 60mmHg.

Typical respiratory depression, acid respiration and acid replacement caused by metabolic abnormalities, the patient's entire internal environment was disturbed, the lactic acid value soared to 15, and he was already suffering from severe acidosis under the influence of drugs.

"Insert."

Qi Tiancheng, who had just communicated with Dr. Xiao Zhao, made a prompt decision and started intubation when he saw the patient in this state.

Push the ventilator and connect the tubes.

Qi Tiancheng held a metal laryngoscope in his hand and was very skillful in operating it. In a short time, the tracheal intubation was completed.

Then the nurse was asked to give the patient half a bottle of sodium bicarbonate to correct the acidosis in the body.

Xiao Chenguang stood aside, observing the patient's blood oxygen saturation, and did not take the initiative to help.

The patient has already come to the central hospital, and he is not needed for basic operations like this.

After all, we are not in our own hospital, so some things cannot be overridden.

It must be said that the first aid level of the Central Hospital is very high.

For tasks like tracheal intubation, the doctors and nurses cooperated very well.

You won't be thrown into confusion because of emergencies, and you won't be in a hurry because you can't find something.

Judging from this set of operations, Qi Tiancheng's level is still good.

"The patient's respiratory rate has dropped, but the tidal volume is not high. Will there be aspiration?"

The nurse responsible for connecting the tubes can understand the basic values ​​​​on the ventilator and feedback their judgment to the doctor.

This is rare.

"It's possible." Qi Tiancheng also found that the tidal volume of patients with tubes was indeed not high.

Just as he was auscultating the breath sounds from both lungs, Xiao Chenguang's voice came over.

"The reason for the confrontation between man and machine is that patients are intolerant of management and will have instinctive resistance. Lowering the inspiratory pressure will be much better."

Qi Tiancheng had just performed auscultation of both lungs at this moment. There were no obvious rales, and the possibility of aspiration was very small.

Just when he was considering whether to invite a doctor specializing in anesthesiology to come down for consultation, Xiao Chenguang's voice made him stunned for a moment.

"Man versus machine?"

The new terminology made him unable to react for a moment, but his hand had already involuntarily turned down the pressure of the ventilator.

really.

The patient's tidal volume suddenly increased. Looking at the respiratory curve on the screen, Qi Tiancheng was surprised.

The on-site thoracentesis, deep vein catheterization, and endotracheal intubation during transportation had already amazed him.

Now I have a thorough knowledge of ventilators that is comparable to anesthesia professionals.

This Doctor Xiao in front of me, when did he come to the emergency department? He is so amazing. Why haven't I heard of him before?

Just when he was confused, Director Lei, who heard the 120 sound, happened to come out of the office.

"What's going on?"

It was a mess outside, and Director Lei thought something had happened. As soon as he came out, he saw the patient being intubated in the emergency room.

"A patient who was poisoned by drugs was transferred from Shengli Hospital. This is the doctor who came to refer him."

Qi Tiancheng quickly explained the situation to Director Lei.

Because this patient's condition was urgent, he had been dealing with the condition and did not have time to report to the leader.

Qi Tiancheng spoke very carefully, fearing that Director Lei would scold him again.

However, when Lei Ming heard that it was a patient transferred from Shengli Hospital, his serious expression immediately softened a bit.

"Well, I understand."

Director Lei nodded, acting like a superior leader, but did not even look at Xiao Chenguang who was bringing the patient over.

In his opinion, although Shengli Hospital and their central hospital are both subordinate units of the Petroleum Administration Bureau, they are at the same level.

But over the years, the development of the two hospitals is quite different.

Compared with Shengli Hospital, which is short of food and clothing, they are the real leading hospital in Yingcheng.

"Patients sent by brother hospitals must be treated with all their strength."

"If there are any needs, try to meet them and don't let them down."

Director Lei's persuasive and approachable tone always gives people a sense of superiority.

No wonder he was furious when he learned that Qi Tiancheng sent patients to Shengli Hospital.

After all, in his opinion, it is natural to transfer patients from lower-level hospitals to higher-level hospitals.

They can treat diseases that Shengli Hospital cannot treat, and this is the key.

After Lei Ming gave instructions, he left after handing over the patient to Qi Tiancheng for full responsibility because he had an appointment at noon.

Although Qi Tiancheng sometimes does things without considering the consequences, he is really good to patients.

Although he scolded him, Lei Ming was relieved to hand over the patient to Qi Tiancheng.

With the departure of Director Lei, the patients in the emergency room are now completely under the responsibility of Qi Tiancheng.

The latter had a sad face, and he didn't know whether Director Lei did it intentionally or not. The patient in front of him was so seriously ill, and he was asked to take charge. What could he do?

If it really didn't work, he could only do his best like those patients who drank pesticides, and transfer the patient to the ICU immediately and make the worst plan.

But at this time, even worse news reached Qi Tiancheng's ears.

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